Individual provider Active NPI

Jill Gerspach Byers, MEDICAL DOCTOR

  • Urology Physician
  • Newport Beach, CA
National Provider Identifier
1902846629
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G74895 Issued in CA
Practice address
320 Superior Ave Ste 110
Newport Beach, CA 92663-2740
Phone
(949) 515-3777
Fax
(949) 480-3404
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X M-17072 ID
Urology Physician 208800000X G74895 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 110
Newport Beach, CA 92663-2740

Mailing address

320 Superior Ave Ste 110
Newport Beach, CA 92663-2740
Phone (949) 515-3777

Other practice location 1

775 Pole Line Rd W Ste 301
Twin Falls, ID 83301-5823
Phone (208) 814-8700

Other identifiers 1

IdentifierTypeStateIssuer
G74895OtherCAMEDICAL BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051130000421 CA Practitioner - General SurgeryPractitioner - Urology 2567428279 Reassigns benefits to 1 organization
I20230905003105 ID Practitioner - Urology 2567428279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Urology
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lamia L Gabal MD IncGroup PAC ID 4486544145, 7 clinicians
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

18302 Irvine Blvd
Suite 200
Tustin, CA 92780-3464
Phone (949) 825-7650

720 N Tustin Ave
Suite 104
Santa Ana, CA 92705-3606
Phone (949) 825-7650

775 Pole Line Rd W
Suite 301
Twin Falls, ID 83301-5823
Phone (208) 814-8700

Hospital & facility affiliations

  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069
  • St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74895CAMDPharmacist
M-17072IDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Clinic LLC CurrentSince Apr 19, 2023 Accepting new patients
Lamia L. Gabal, MD, Inc. CurrentSince Dec 31, 2024 Accepting new patients
Continence Center Medical Group, Inc. Urology CurrentSince Oct 24, 2001 Accepting new patients
Rabin Beral DPM a Podiatry Corporation Past Accepting new patients
So Bay Urology Med GRP Urology PastSince Aug 1, 2001 Accepting new patients
St Luke'S Magic Valley Regional Medical Center LTD Past Accepting new patients

Locations

320 Superior Ave
Ste 110
Newport Beach, CA 92663
Phone (949) 515-3777

720 N Tustin Ave
Ste 104
Santa Ana, CA 92705
Phone (949) 825-7650

3400 Lomita Blvd
Ste 300
Torrance, CA 90505
Phone (310) 325-4353

4825 Torrance Blvd
Ste 10
Torrance, CA 90503

18302 Irvine Blvd
Ste 200
Tustin, CA 92780
Phone (949) 825-7650

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230

775 Pole Line Rd W
Ste 301
Twin Falls, ID 83301
Phone (208) 814-8700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jillbyersmd@ccmgi-ca1.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: drjillbyers@pmg-ca.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1902846629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632740",
            "telephone_number": "949-515-3777",
            "fax_number": "949-480-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632740",
            "telephone_number": "949-515-3777",
            "fax_number": "949-480-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Pole Line Rd W Ste 301",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015823",
            "country_code": "US",
            "telephone_number": "208-814-8700",
            "fax_number": "208-933-4914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERS",
        "first_name": "JILL",
        "middle_name": "GERSPACH",
        "name_prefix": "Dr.",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M-17072",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G74895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD LICENSE",
            "identifier": "G74895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.